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Cervical and craniofacial necrotizing fasciitis

  • Laura J. Vandelaar
    Affiliations
    Department of Otorhinolaryngology—Head and Neck Surgery, McGovern Medical School, The University of Texas at Houston, Houston, Texas
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  • Ibrahim Alava III
    Correspondence
    Address reprint requests and correspondence: Ibrahim Alava III, MD, Department of Otorhinolaryngology—Head and Neck Surgery, McGovern Medical School, The University of Texas at Houston, 6431 Fannin St, MSB 5.036, Houston, TX.
    Affiliations
    Department of Otorhinolaryngology—Head and Neck Surgery, McGovern Medical School, The University of Texas at Houston, Houston, Texas

    Department of Otolaryngology—Head and Neck Surgery, Lyndon B. Johnson Hospital, Houston, Texas
    Search for articles by this author
Published:August 23, 2017DOI:https://doi.org/10.1016/j.otot.2017.08.008
      Cervical and craniofacial necrotizing fasciitis is an aggressive disease process that at times has subtle etiologies and physical findings. Involvement in the head and neck is rare; however, when present it can have extensive morbidity and mortality. High index of suspicion is paramount for early treatment and survival. We describe the presentation, diagnosis, and treatment of cervical and craniofacial necrotizing fasciitis. We detail the typical physical examination findings as well as diagnosis based on imaging. We then describe in-depth the operative techniques needed to properly treat these patients allowing for their best chance at survival from this deadly disease.

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